FARMINGTON VISION CARE LLC
NPI: 1992206213
· FARMINGTON, MO 63640
· 152W00000X
$243K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$49.60 |
| 2020 |
192 |
$3K |
| 2021 |
999 |
$23K |
| 2022 |
1,568 |
$56K |
| 2023 |
2,384 |
$98K |
| 2024 |
1,805 |
$64K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,384 |
1,345 |
$120K |
| 92014 |
|
795 |
773 |
$53K |
| V2020 |
Vision svcs frames purchases |
745 |
715 |
$35K |
| 92015 |
|
2,816 |
2,707 |
$13K |
| V2784 |
Lens polycarb or equal |
468 |
223 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
316 |
177 |
$10K |
| 92340 |
|
437 |
435 |
$3K |